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Updated: Jul 15, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
C-ring mitral annuloplasty: 27-year follow-up
Tomer Z Karas1, George J Reul, Denton A Cooley
1Division of Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
This study tracks a patient with rheumatic mitral valve disease who had mitral valve repair using the Cooley C-ring in 1977. The repair provided 27 years of valve function before eventual replacement.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Repair
- Rheumatic Heart Disease
Background:
- Rheumatic mitral valve disease often necessitates surgical intervention.
- Mitral valve repair aims to restore native valve function and prevent complications.
- The Cooley C-ring annuloplasty device was developed for mitral valve reconstruction.
Observation:
- A patient with rheumatic mitral valve disease underwent mitral valve repair with a Cooley C-ring in 1977.
- The patient was followed for long-term outcomes of the mitral valve repair.
Findings:
- The mitral valve repair using the Cooley C-ring remained competent and unobstructed for 27 years.
- The repaired mitral valve eventually required replacement after 27 years of function.
Implications:
- This case demonstrates the potential for durable long-term function following mitral valve repair with the Cooley C-ring.
- The findings suggest that annuloplasty with the Cooley C-ring can be a viable option for rheumatic mitral valve disease.
- Long-term follow-up is crucial for assessing the durability of mitral valve repair techniques.
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